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<br /> <br /> <br />City of Everett <br />RFP #2026-001 for Third Party Claims Administrator (TPA) Services <br /> <br />11. Intercare will act as the City’s Reporting Agent in compliance with the Medicare <br />Secondary payer requirements under the CMS Section 111 Mandatory Reporting <br />program. <br />12. Intercare recognizes that inactive files are reviewed with the City within sixty (60) <br />calendar days of last activity. <br />C. Claims Analysis and Reporting <br />1. Intercare will inform City staff of any changes to current laws that could have an impact <br />on the City’s liability claims program. <br />2. Intercare will advise City staff of any claim trends that may have an impact on the City’s <br />claim program. Intercare will provide data and analytics regarding the City’s program to <br />the Risk Manager monthly. <br />3. Intercare will provide ad hoc reports upon request from the City. <br />4. Intercare will provide statistical reports monthly that depict claims opened or closed per <br />month, payments that have been issued, and current reserves on all open claims. <br />Intercare will provide other reports as needed. <br />5. Intercare will respond to any inquiries the City’s excess carrier may have regarding any <br />particular claim, as well as provide the excess carrier with any reports requested. <br />6. Intercare will retain and store all claims records in an electronic format that is accessible <br />to the City. <br />7. Intercare will maintain a documented, electronic claim file for each claim assigned. Files <br />will contain all pertinent claim data to support the disposition and will remain the <br />exclusive property of the City. <br />D. File Reviews <br />1. Intercare recognizes that the City will conduct regular file reviews throughout the year. <br />Intercare will be prepared to attend review meetings as requested by the City, whether <br />on a regular scheduled basis or an ad hoc basis. <br />35